{"id":193,"date":"2009-08-26T17:04:41","date_gmt":"2009-08-26T18:04:41","guid":{"rendered":"https:\/\/turanuslu.net\/?p=193"},"modified":"2021-03-20T08:58:03","modified_gmt":"2021-03-20T08:58:03","slug":"cocukluk-caginda-sik-gorulen-agri-sendromlari","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/es\/cocukluk-caginda-sik-gorulen-agri-sendromlari\/","title":{"rendered":"\u00c7ocukluk \u00c7a\u011f\u0131nda S\u0131k G\u00f6r\u00fclen A\u011fr\u0131 Sendromlar\u0131"},"content":{"rendered":"

\u00c7ocukluk \u00c7a\u011f\u0131nda S\u0131k G\u00f6r\u00fclen A\u011fr\u0131 Sendromlar\u0131<\/h1>\n

\u00c7ocukluk \u00c7a\u011f\u0131nda S\u0131k G\u00f6r\u00fclen A\u011fr\u0131 Sendromlar\u0131<\/p>\n

1) Fibromiyalji sendromu e\u015f anlaml\u0131lar\u0131<\/strong><\/h2>\n
Fibromiyalji, \u201cyayg\u0131n, nedeni bilinmeyen (idiopatik) kas-iskelet a\u011fr\u0131 sendromu\u201d grubuna dahildir.<\/div>\n

\u00bfPor qu\u00e9?<\/strong><\/p>\n

Fibromiyalji, uzun s\u00fcreli yayg\u0131n kas-iskelet a\u011fr\u0131lar\u0131, yumu\u015fak dokularda (kas ve tendon) hassas noktalar ve \u015fiddetli yorgunlukla karakterize bir hastal\u0131kt\u0131r.<\/div>\n
<\/div>\n

Ne kadar s\u0131kt\u0131r?<\/h3>\n
Fibromiyalji, \u00f6zellikle yeti\u015fkinlerde ortaya \u00e7\u0131kar. Hastal\u0131k daha \u00e7ok ergenlik \u00e7a\u011f\u0131nda olmak \u00fczere \u00e7ocuklarda seyrek olarak bildirilir. K\u0131zlar erkeklerden daha s\u0131k etkilenir. Bu hastal\u0131\u011f\u0131 olan \u00e7ocuklar idiopatik kas ve iskelet a\u011fr\u0131 sendromu olan \u00e7ocuklarla bir\u00e7ok \u00f6zelli\u011fi payla\u015f\u0131rlar.<\/div>\n

Tipik klinik \u00f6zellikleri nelerdir?<\/h3>\n
Hastalar dokular\u0131n derinlerinde yayg\u0131n a\u011fr\u0131dan \u015fikayet\u00e7idirler. A\u011fr\u0131n\u0131n \u015fiddeti de\u011fi\u015fkendir. A\u011fr\u0131 v\u00fccudun her iki k\u0131sm\u0131nda, \u00fcst ve alt ekstremitede olabilir. Uyku yetersizdir ve hasta sabahlar\u0131 doyurucu olmayan, kalitesiz bir uykudan kalkt\u0131\u011f\u0131n\u0131 ifade eder ve kendini yeterli s\u00fcre uyusa bile yorgun hisseder. Ba\u015fka bir \u00f6nemli \u015fikayet fiziksel kapasiteyi s\u0131n\u0131rland\u0131ran \u015fiddetli yorgunluktur. Hastalar s\u0131kl\u0131kla ba\u015f a\u011fr\u0131s\u0131, kollar ve bacaklarda \u015fi\u015fkinlik hissi (olmad\u0131\u011f\u0131 halde) ve uyu\u015fukluk gibi \u015fikayetler bildirirler. Bu belirtiler tedirginlik, depresyon ve \u00e7ok fazla okul devams\u0131zl\u0131\u011f\u0131na neden olur.<\/div>\n

Nas\u0131l tan\u0131 konur?<\/h3>\n
Tan\u0131, 3 aydan fazla s\u00fcren d\u00f6rt v\u00fccut alan\u0131nda yayg\u0131n a\u011fr\u0131 ve fizik muayenede 18 hassas noktadan 11\u2019inde a\u011fr\u0131 bulunmas\u0131 ile konur. A\u011fr\u0131l\u0131 noktalar, klinik olarak a\u011fr\u0131 \u00f6l\u00e7meye yarayan hassas bir alet olan dolorimetre kadar g\u00fcvenilir olabilen ba\u015f parmak bas\u0131s\u0131 ile de\u011ferlendirilir.<\/div>\n

Tedavi nas\u0131l yap\u0131l\u0131r?<\/h3>\n
\u00d6ncelikle hastaya ve aileye, her ne kadar a\u011fr\u0131 \u015fiddetli ve ger\u00e7ek olsa da bu a\u011fr\u0131lar\u0131n hastaya fiziksel bir zarar vermeyece\u011fi, ileride bir sakatl\u0131\u011fa yol a\u00e7mayaca\u011f\u0131 anlat\u0131lmal\u0131 ve a\u011fr\u0131lar\u0131n yaratt\u0131\u011f\u0131 tedirginlik azalt\u0131lmal\u0131d\u0131r. Tedavi de\u011fi\u015fik uzmanl\u0131k dallar\u0131ndan hekimlerin tak\u0131m yakla\u015f\u0131m\u0131 ile yap\u0131l\u0131r ve \u00fc\u00e7 temel aya\u011f\u0131 vard\u0131r. En \u00f6nemlisi yo\u011fun ve s\u00fcrekli bir egzersiz program\u0131n\u0131n ba\u015flat\u0131lmas\u0131d\u0131r. Bu anlamda en iyisi y\u00fczme egzersizleridir. \u0130kinci \u00f6nemli yakla\u015f\u0131m psikolojik tedavidir. Bireysel ya da grup olarak d\u00fc\u015f\u00fcnsel, davran\u0131\u015f\u00e7\u0131 psikoterapi y\u00f6ntemlerini kapsar. \u00dc\u00e7\u00fcnc\u00fc yakla\u015f\u0131m ise ila\u00e7 tedavisidir. \u00d6zellikle hastan\u0131n uykusunu d\u00fczenlemek ve a\u011fr\u0131s\u0131n\u0131 azaltmak amac\u0131yla baz\u0131 hastalara ila\u00e7 tedavisi ba\u015flat\u0131labilir. Uyku s\u0131ras\u0131nda boyun deste\u011fi sa\u011flayan \u00f6zel yast\u0131k kullan\u0131m\u0131 yard\u0131mc\u0131 olabilir.<\/div>\n

Conclusi\u00f3n<\/h3>\n
Hastan\u0131n kendi \u00e7abas\u0131 ve ailesinin deste\u011fi olmaks\u0131z\u0131n hastal\u0131\u011f\u0131n d\u00fczelmesi kolay de\u011fildir. Genellikle \u00e7ocuklarda sonu\u00e7 eri\u015fkinlerden \u00e7ok daha iyidir ve \u00e7o\u011funda tam iyile\u015fme g\u00f6r\u00fcl\u00fcr. D\u00fczenli fiziksel egzersiz program\u0131na uymak iyile\u015fmede en \u00f6nemli rol\u00fc oynar.<\/div>\n

2) B\u00f6lgesel idiopatik kas-iskelet a\u011fr\u0131 sendromu: E\u015f anlaml\u0131lar\u0131: Refleks sempatetik distrofi, kompleks b\u00f6lgesel a\u011fr\u0131 sendromu tipi Nedir?<\/strong><\/h2>\n
S\u0131kl\u0131kla deri de\u011fi\u015fiklikleriyle giden, nedeni bilinmeyen a\u015f\u0131r\u0131 derecede \u015fiddetli kol, bacak a\u011fr\u0131s\u0131.<\/div>\n

Ne kadar s\u0131kt\u0131r?<\/h3>\n
S\u0131kl\u0131\u011f\u0131 \u00fczerine g\u00fcvenilir bir veri yoktur. Ne var ki, ergenlerde (ortalama ba\u015flang\u0131\u00e7 ya\u015f\u0131 12 civar\u0131nda) ve k\u0131zlarda daha s\u0131k oldu\u011fu bilinmektedir.<\/div>\n

Esas belirtiler nelerdir?<\/strong><\/h3>\n
Genellikle, tedavilere cevap vermeyen ve zaman i\u00e7inde artan, uzun s\u00fcreli ve \u00e7ok \u015fiddetli kol, bacak a\u011fr\u0131s\u0131 hikayesi vard\u0131r. S\u0131kl\u0131kla etkilenen kol ve baca\u011f\u0131n kullan\u0131lamamas\u0131 ile sonu\u00e7lan\u0131r. Allodinia denen \u00e7o\u011fu insanda a\u011fr\u0131s\u0131z olan duyular\u0131n (hafif dokunma) bu hastalarda \u015fiddetli a\u011fr\u0131yla sonu\u00e7lanmas\u0131 durumu s\u00f6z konusudur. Bu yak\u0131nmalar\u0131n birlikteli\u011fi hasta \u00e7ocuklarda g\u00fcnl\u00fck aktivitelerde problem yarat\u0131r ve genellikle \u00e7ok fazla okul devams\u0131zl\u0131\u011f\u0131na neden olur. \u00c7ocuklar\u0131n baz\u0131lar\u0131nda zamanla deri rengi (soluk ve mor alaca g\u00f6r\u00fcn\u00fcm), \u0131s\u0131s\u0131(genellikle d\u00fc\u015f\u00fck) ve terlemesinde de\u011fi\u015fiklikler olu\u015fur. Bazen \u00e7ocuk kol ya da baca\u011f\u0131n\u0131 uygunsuz bir post\u00fcrde tutarak hareket ettirmeyi ret eder ve zamanla o b\u00f6lgede kullanmamaya ba\u011fl\u0131 hareket k\u0131s\u0131tl\u0131l\u0131klar\u0131 ortaya \u00e7\u0131kabilir.<\/div>\n

Tan\u0131 nas\u0131l konur?<\/h3>\n
Birka\u00e7 y\u0131l \u00f6ncesine kadar bu sendromlar de\u011fi\u015fik isimlerle adland\u0131r\u0131l\u0131yorsa da, g\u00fcn\u00fcm\u00fczde \u00e7o\u011funun kayna\u011f\u0131n\u0131n bilinmedi\u011fi ve tedavilerinin ayn\u0131 oldu\u011fu g\u00f6z \u00f6n\u00fcnde bulundurularak ayn\u0131 \u015femsiye alt\u0131na konmu\u015f ve b\u00f6lgesel kas-iskelet a\u011fr\u0131 sendromlar\u0131 ad\u0131n\u0131 alm\u0131\u015flard\u0131r. Hastal\u0131\u011f\u0131n tan\u0131s\u0131 i\u00e7in bir dizi kriter kullan\u0131lmaktad\u0131r. Tan\u0131 kliniktir ve a\u011fr\u0131n\u0131n \u00f6zelliklerine (\u015fiddetli, uzun s\u00fcreli, aktivite k\u0131s\u0131tlayan, tedaviye cevaps\u0131z; allodinia varl\u0131\u011f\u0131) ve fizik muayeneye dayal\u0131d\u0131r. \u015eikayetlerin ve klinik bulgular\u0131n ortak sonu\u00e7lar\u0131 olduk\u00e7a karakteristiktir. Tan\u0131, genelde di\u011fer hastal\u0131klar\u0131n d\u0131\u015flanmas\u0131 ile konur ve zaten \u00e7o\u011fu zaman hasta, \u00e7ocuk romatolo\u011funa gelene kadar ay\u0131r\u0131c\u0131 tan\u0131 yap\u0131lm\u0131\u015f olur. Laboratuar bulgular\u0131 normaldir.<\/div>\n

Tedavi nas\u0131l yap\u0131l\u0131r?<\/h3>\n
En \u00e7ok i\u015fe yarayan yakla\u015f\u0131m, bir fizyoterapist g\u00f6zetiminde, kademeli fiziksel egzersiz tedavi program\u0131n\u0131n ba\u015flat\u0131lmas\u0131d\u0131r; psikoterapi de yararl\u0131 olabilir. Tedavi hem \u00e7ocuk hem aile, hem de tedavi eden ekip a\u00e7\u0131s\u0131ndan sab\u0131r gerektirir. Hastal\u0131\u011f\u0131n neden oldu\u011fu stres y\u00fcz\u00fcnden genellikle psikolojik m\u00fcdahale gereklidir. Kesin sonu\u00e7lar\u0131 olmaks\u0131z\u0131n pek \u00e7ok de\u011fi\u015fik tedavi se\u00e7ene\u011fi (anti-depresanlar, biyolojik geri besleme y\u00f6ntemleri,TENS, davran\u0131\u015f\u00e7\u0131 tedaviler) tek ba\u015f\u0131na ya da birlikte, \u00f6nerilmi\u015ftir.<\/div>\n

Conclusi\u00f3n<\/h3>\n
Bu hastal\u0131k, \u00e7ocuklarda yeti\u015fkinlere g\u00f6re daha iyi zonu\u00e7lan\u0131r. Hemen hemen t\u00fcm \u00e7ocuklar sonunda iyile\u015fir.<\/div>\n

G\u00fcnl\u00fck ya\u015fam<\/h3>\n
\u00c7ocuk, d\u00fczenli olarak okula giderek ve ya\u015f\u0131tlar\u0131yla ili\u015fki kurarak normal aktivite d\u00fczeyine eri\u015fmek i\u00e7in cesaretlendirilmelidir<\/div>\n

3) Eritromelalji<\/strong><\/h2>\n

\"\"<\/p>\n

Eritromalji olarak da bilinir. Hastal\u0131\u011f\u0131n ad\u0131, ayr\u0131 anlamlar\u0131 olan eski yunanca 3 s\u00f6zc\u00fckten gelmektedir: Eritros(k\u0131rm\u0131z\u0131), melos(uzuv),algos (a\u011fr\u0131). \u00c7ok nadirdir fakat baz\u0131 ailelerde yayg\u0131n olabilir. \u00c7o\u011fu \u00e7ocuk hastal\u0131k bulgular\u0131n\u0131 g\u00f6sterdi\u011finde 10 ya\u015f\u0131ndad\u0131r. K\u0131zlarda daha s\u0131kt\u0131r. Hastal\u0131k, s\u0131cak, k\u0131rm\u0131z\u0131, \u015fi\u015fkin ayaklarda ya da nadiren ellerde yanma hissi ile karakterizedir. Belirtiler \u0131s\u0131ya maruz kal\u0131nmas\u0131yla k\u00f6t\u00fcle\u015fir ve uzuvlar\u0131n so\u011futulmas\u0131yla rahatlar. Bu y\u00fczden baz\u0131 \u00e7ocuklar ayaklar\u0131n\u0131 buzlu sudan \u00e7ekmeyi reddederler. Hastal\u0131\u011f\u0131n seyri de\u011fi\u015fkendir. Is\u0131dan ve a\u011f\u0131r egzersizden ka\u00e7\u0131nmak en yararl\u0131 tedavi yakla\u015f\u0131m\u0131 gibi g\u00f6r\u00fcnmektedir.Eri\u015fkinlerde i\u015fe yarad\u0131\u011f\u0131 kan\u0131tlanm\u0131\u015f olan nonsteroidal anti inflamatuar ila\u00e7lara cevap \u00e7ocuklarda genellikle k\u00f6t\u00fcd\u00fcr. Damar geni\u015fleticiler i\u015fe yarayabilir.<\/div>\n

\"\" \"\"
\n4) B\u00fcy\u00fcme a\u011fr\u0131lar\u0131 Nedir?<\/strong><\/h2>\n
B\u00fcy\u00fcme a\u011fr\u0131lar\u0131, genellikle 10 ya\u015f\u0131ndan daha k\u00fc\u00e7\u00fck \u00e7ocuklarda ortaya \u00e7\u0131kan kol ve bacaklarda karakteristik a\u011fr\u0131 bi\u00e7imini ifade eden iyi huylu bir sendromdur.<\/div>\n

Ne kadar s\u0131kt\u0131r?<\/h3>\n
Kol ve bacaklarda a\u011fr\u0131 olmas\u0131 pediatride uzman bak\u0131m\u0131n\u0131 gerektiren en \u00f6nemli nedenlerdendir. Bunlar\u0131n aras\u0131nda b\u00fcy\u00fcme a\u011fr\u0131lar\u0131 en s\u0131k olan\u0131d\u0131r. D\u00fcnya y\u00fczeyinde \u00e7ocuklar\u0131n %10-20\u2019si b\u00fcy\u00fcme a\u011fr\u0131s\u0131 \u00e7ekmektedir ve daha \u00e7ok 3-12 ya\u015flar\u0131 aras\u0131nda g\u00f6r\u00fcl\u00fcr. K\u0131z ve erkek \u00e7ocuklarda etkilenme benzerdir.<\/div>\n

Esas belirtiler nelerdir?<\/h3>\n
A\u011fr\u0131 \u00e7o\u011funlukla bacaklardad\u0131r (deri, bald\u0131r, diz arkas\u0131 veya uyluk ) ve genellikle iki tarafl\u0131d\u0131r. A\u011fr\u0131 genellikle ak\u015fam ya da gece ortaya \u00e7\u0131kar ve s\u0131kl\u0131kla \u00e7ocu\u011fu uyand\u0131r\u0131r. Ebeveynler, yayg\u0131n olarak \u00e7ocuklar\u0131n\u0131n artm\u0131\u015f fizik aktiviteden sonra a\u011fr\u0131 geli\u015ftirdi\u011fini bildirmi\u015ftir. A\u011fr\u0131n\u0131n s\u00fcresi genelde 10-30 dakika s\u00fcrer fakat, dakikalarla saatler aras\u0131nda de\u011fi\u015fir. A\u011fr\u0131n\u0131n \u015fiddeti hafif ya da a\u011f\u0131r olabilir. B\u00fcy\u00fcme a\u011fr\u0131lar\u0131 g\u00fcnler ve aylarca s\u00fcren a\u011fr\u0131s\u0131z d\u00f6nemlerle giden, aral\u0131kl\u0131 bir a\u011fr\u0131d\u0131r. Baz\u0131 olgularda a\u011fr\u0131 her g\u00fcn ortaya \u00e7\u0131kabilir.<\/div>\n

Tan\u0131 nas\u0131l konur?<\/h3>\n
Normal fizik muayene ile birlikte karakteristik a\u011fr\u0131 bulgular\u0131n\u0131n olmas\u0131 bizi tan\u0131ya g\u00f6t\u00fcr\u00fcr. Laboratuar testleri ya da r\u00f6ntgen filmlerine gerek yoktur; hepsi normaldir.<\/div>\n

Tedavi se\u00e7enekleri nelerdir?<\/h3>\n
Olay\u0131n iyi huylu oldu\u011funun a\u00e7\u0131klanmas\u0131 \u00e7ocukta ve ailedeki tedirginli\u011fi azaltabilir. A\u011fr\u0131 ataklar\u0131 s\u0131ras\u0131nda b\u00f6lgeye masaj yap\u0131lmas\u0131 ve hafif a\u011fr\u0131 kesiciler yard\u0131mc\u0131 olabilir. S\u0131k ataklar\u0131 olan \u00e7ocuklarda ak\u015famlar\u0131 bir doz ibuprofen a\u011fr\u0131y\u0131 azaltabilir hatta \u00f6nleyebilir.<\/div>\n

Conclusi\u00f3n<\/strong><\/p>\n

B\u00fcy\u00fcme a\u011fr\u0131lar\u0131 herhangi bir organik hastal\u0131k ile ili\u015fkili de\u011fildir ve genellikle ge\u00e7 \u00e7ocukluk d\u00f6neminde d\u00fczelir. \u00c7ocuklar\u0131n %100\u2019\u00fcnde a\u011fr\u0131 b\u00fcy\u00fcd\u00fcklerinde kaybolur.<\/div>\n

5) \u0130yi huylu hipermobilite sendromu Nedir?<\/strong><\/h2>\n
\u0130yi huylu hipermobilite sendromu (BHS), konjenital ya da ba\u011f dokusu hastal\u0131\u011f\u0131 olmaks\u0131z\u0131n eklemlerin artm\u0131\u015f elastikli\u011fi nedeniyle (eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131) a\u011fr\u0131mas\u0131d\u0131r. Bu y\u00fczden, BHS hastal\u0131ktan \u00e7ok normal bir bulgudur.<\/div>\n

Ba\u015fl\u0131ca belirtileri nelerdir?<\/h3>\n
Hipermobilite s\u0131kl\u0131kla dizler, ayak ve ayak bileklerinde, g\u00fcn\u00fcn sonu veya gece, aral\u0131kl\u0131, derin ve tekrarlayan a\u011fr\u0131ya sebep olur. Piyano, viyolonsel vb . \u00e7alan \u00e7ocuklar\u0131n daha \u00e7ok parmaklar\u0131 etkilenir. Fiziksel aktivite ve egzersiz a\u011fr\u0131y\u0131 tetikler veya \u015fiddetlenir. Nadiren hafif eklem \u015fi\u015fli\u011fi olabilir.<\/div>\n

Tan\u0131 nas\u0131l konur?<\/h3>\n
Eklem hipermobilitesini tan\u0131mlamak i\u00e7in haz\u0131rlanm\u0131\u015f kriterlere g\u00f6re konur.<\/div>\n

Tedavi nas\u0131l yap\u0131l\u0131r?<\/h3>\n
Tedavi nadiren gereklidir. E\u011fer \u00e7ocuk futbol veya jimnastik gibi baz\u0131 zorlay\u0131c\u0131 sporlar yap\u0131yor ve s\u00fcrekli eklem incinmesi\/ y\u0131rt\u0131lmas\u0131 geli\u015fiyorsa kas g\u00fc\u00e7lendirme ve eklem koruma (dizlik vb.) gereklidir.<\/div>\n

G\u00fcnl\u00fck ya\u015fam<\/h3>\n
Hipermobilite ya\u015f ile birlikte azalan iyi huylu bir durumdur. Aileler ba\u015fl\u0131ca riskin, \u00e7ocuklar\u0131n normal hayatlar\u0131n\u0131 s\u00fcrd\u00fcrmelerini engellemek oldu\u011funun bilincine varmal\u0131d\u0131r. \u00c7ocuklar\u0131n, ilgilendikleri sporu yapmak da dahil, normal bir aktivite d\u00fczeyini korumalar\u0131 desteklenmelidir.<\/div>\n

6) Ge\u00e7ici sinovit Toksik sinovit, iritabl kal\u00e7a Nedir?<\/strong><\/h2>\n
Kal\u00e7a ekleminde bilinmeyen nedenle s\u0131v\u0131 birikimi ve hi\u00e7bir hasar b\u0131rakmadan kendili\u011finden iyile\u015fmesidir.<\/div>\n

Ne kadar s\u0131kt\u0131r?<\/strong><\/h3>\n
\u00c7ocukluk \u00e7a\u011f\u0131nda en s\u0131k rastlanan kal\u00e7a a\u011fr\u0131s\u0131 nedenidir. 3-10 ya\u015f aras\u0131 \u00e7ocuklar\u0131n %2- 3\u2019\u00fcn\u00fc etkiler. Erkeklerde daha s\u0131k g\u00f6r\u00fcl\u00fcr (1 k\u0131za 3-4 erkek).<<\/div>\n

Ba\u015fl\u0131ca belirtileri nelerdir?<\/h3>\n
Kal\u00e7a a\u011fr\u0131s\u0131 ve topallamad\u0131r. Kal\u00e7a a\u011fr\u0131s\u0131, genelde ani ba\u015flayan, kas\u0131kta, uyluk \u00fcst b\u00f6lgesinde ya da dize yans\u0131yan a\u011fr\u0131 \u015feklinde ortaya \u00e7\u0131kabilir. En s\u0131k rastlanan tablo \u00e7ocu\u011fun uyand\u0131\u011f\u0131nda topallamas\u0131 ya da y\u00fcr\u00fcmeyi reddetmesidir.<\/div>\n

Nas\u0131l tan\u0131 konur?<\/h3>\n
Fizik muayene k\u0131s\u0131tl\u0131 ve a\u011fr\u0131l\u0131 kal\u00e7a hareketi ile birlikte topallama vard\u0131r. Olgular\u0131n %5\u2019inde her iki kal\u00e7a da tutulur. R\u00f6ntgen filmleri normaldir.<\/div>\n

Tedavi nas\u0131l yap\u0131l\u0131r?<\/h3>\n
Tedavinin temeli a\u011fr\u0131n\u0131n derecesi ile orant\u0131l\u0131 istirahatt\u0131r. Non steroid anti inflamatuar ila\u00e7lar a\u011fr\u0131y\u0131 azaltmada yararl\u0131d\u0131r. \u00c7ok a\u011f\u0131r ataklarda baca\u011fa traksiyon uygulan\u0131r. Hastal\u0131k genellikle tedavisiz 6-8 g\u00fcnde iyile\u015fir.<\/div>\n

Conclusi\u00f3n<\/h3>\n
\u00c7ocuklar\u0131n %99\u2019undan fazlas\u0131nda tam iyile\u015fme ile sonu\u00e7lan\u0131r. Yeni ge\u00e7ici sinovit ataklar\u0131n geli\u015fmesi nadir de\u011fildir fakat, genelde daha hafiftir ve daha k\u0131sa s\u00fcrer.<\/div>\n

7) Patellofemoral a\u011fr\u0131- diz a\u011fr\u0131s\u0131 <\/strong>Giri\u015f<\/strong><\/h2>\n
Patellofemoral a\u011fr\u0131 en s\u0131k g\u00f6r\u00fclen \u00e7ocukluk \u00e7a\u011f\u0131 A\u015f\u0131r\u0131 Kullan\u0131m Sendromudur. Bu grup hastal\u0131klar, tekrarlanan hareketlerden ya da v\u00fccudun belli bir b\u00f6lgesinin devaml\u0131 egzersize ba\u011fl\u0131 hasar\u0131ndan kaynaklan\u0131r. Bu hastal\u0131klar \u00e7ocuklara oranla yeti\u015fkinlerde \u00e7ok daha yayg\u0131nd\u0131r (tenis\u00e7i ya da golf\u00e7u dirse\u011fi, karpal t\u00fcnel sendromu vb.).<\/div>\n

E\u015f anlaml\u0131lar<\/h3>\n
Patellofemoral sendrom, patellan\u0131n kondromalazisi, kondromalazi, \u00f6n diz a\u011fr\u0131s\u0131.<\/div>\n

\u00bfPor qu\u00e9?<\/h3>\n
Patellofemoral a\u011fr\u0131, patellofemoral ekleme (diz kapa\u011f\u0131 ile uyluk kemi\u011finin alt ucu aras\u0131nda olu\u015fan eklem) ek y\u00fck bindiren aktivitelerden kaynaklanan \u00f6n diz a\u011fr\u0131s\u0131n\u0131 ifade eder. E\u011fer a\u011fr\u0131, patellan\u0131n i\u00e7e bakan y\u00fczey dokusundaki de\u011fi\u015fikliklerle birlikte ise patellan\u0131n kondromalazisi ya da kondromalazi patella terimi kullan\u0131l\u0131r.<\/div>\n

Ne kadar s\u0131kt\u0131r?<\/h3>\n
Sekiz ya\u015f\u0131n alt\u0131ndaki \u00e7ocuklarda \u00e7ok nadirdir; <\/strong>ergenlikte giderek daha s\u0131kla\u015f\u0131r. Patellofemoral a\u011fr\u0131 k\u0131zlarda daha s\u0131kt\u0131r. Dizlerinde X- bacak (genu valgum) ya da Obacak (genu varum) gibi belirgin a\u00e7\u0131lanmas\u0131 olan \u00e7ocuklarda ve patella hastal\u0131\u011f\u0131 (tekrarlayan gev\u015feklik ve \u00e7arp\u0131kl\u0131k) olanlarda daha yayg\u0131nd\u0131r.<\/div>\n

Ba\u015fl\u0131ca belirtileri nelerdir?<\/h3>\n
Ko\u015fma, merdiven inip \u00e7\u0131kma, z\u0131plama ve \u00e7\u00f6melme gibi aktivitelerle k\u00f6t\u00fcle\u015fen \u00f6n diz a\u011fr\u0131s\u0131 vard\u0131r. A\u011fr\u0131 ayr\u0131ca, dizin b\u00fck\u00fcl\u00fc kald\u0131\u011f\u0131 uzun s\u00fcreli oturmadan sonra da k\u00f6t\u00fcle\u015febilir.<\/div>\n

Tan\u0131 nas\u0131l konur?<\/h3>\n
Sa\u011fl\u0131kl\u0131 bir \u00e7ocukta patellofemoral a\u011fr\u0131 klinik bir tan\u0131d\u0131r (laboratuar tetkikleri ya da g\u00f6r\u00fcnt\u00fclme teknikleri gereksizdir). A\u011fr\u0131, diz kapa\u011f\u0131n\u0131n \u00fcst\u00fcne bast\u0131rarak ya da uyluk kas\u0131 (kuadriseps) kas\u0131ld\u0131\u011f\u0131 zaman patellan\u0131n yukar\u0131 \u00e7\u0131kmas\u0131n\u0131 engelleyerek olu\u015fturulabilir.<\/div>\n

Tedavi nas\u0131l yap\u0131l\u0131r?<\/h3>\n
Allta yatan hastal\u0131\u011f\u0131 (dizin a\u00e7\u0131lanma bozukluklar\u0131 ya da patellar gev\u015fekli\u011fi) olmayan \u00e7ocuklarda genellikle gereksizdir. Kendili\u011finden iyile\u015fen iyi huylu bir durumdur. A\u011fr\u0131, spora ya da g\u00fcnl\u00fck aktivitelere engel oluyorsa kuadriseps g\u00fc\u00e7lendirme program\u0131 ba\u015flatmak yararl\u0131 olabilir. Egzersiz sonras\u0131 buz a\u011fr\u0131y\u0131 hafifletir.<\/div>\n

G\u00fcnl\u00fck ya\u015fam<\/h3>\n
\u00c7ocuklar normal bir ya\u015fam s\u00fcrmelidir. Fiziksel aktivite miktar\u0131 a\u011fr\u0131ya neden olmayacak gibi ayarlanmal\u0131d\u0131r. Sporda \u00e7ok aktif olan \u00e7ocuklar bir dizlik ya da bant kullanabilir.<\/div>\n

8) Kaym\u0131\u015f femur ba\u015f\u0131 epifizi nedir?<\/strong><\/h2>\n
Bilinmeyen bir nedenle femur ba\u015f\u0131n\u0131n b\u00fcy\u00fcme pla\u011f\u0131ndan ayr\u0131lmas\u0131d\u0131r. B\u00fcy\u00fcme pla\u011f\u0131, kemik dokusu aras\u0131na s\u0131k\u0131\u015fm\u0131\u015f bir k\u0131k\u0131rdak dilimidir. Kemi\u011fin en zay\u0131f par\u00e7as\u0131d\u0131r ve mineralize olup tamam\u0131yla kemi\u011fe d\u00f6n\u00fc\u015ft\u00fc\u011f\u00fcnde kemik b\u00fcy\u00fcmesi durur.<\/div>\n

Ne kadar s\u0131kt\u0131r?<\/h3>\n
Y\u00fczbin \u00e7ocukta 3-10 \u00e7ocu\u011fu etkileyen nadir bir hastal\u0131kt\u0131r. Ergenlerde ve erkek \u00e7ocuklarda daha s\u0131kt\u0131r. Obezite, yatk\u0131nla\u015ft\u0131r\u0131c\u0131 bir fakt\u00f6r olarak bilinmektedir.<\/div>\n

Ba\u015fl\u0131ca belirtileri nelerdir?<\/h3>\n
Fiziksel aktivite ile k\u00f6t\u00fcle\u015fen topallama ve bacak a\u011fr\u0131s\u0131 ve kal\u00e7a hareketlili\u011finde azalmad\u0131r. A\u011fr\u0131, uylu\u011fun \u00fcst 2\/3 ya da alt 1\/3\u2019\u00fcnde hissedilir ve hareketle artar. \u00c7ocuklar\u0131n %15\u2019inde hastal\u0131k iki kal\u00e7ay\u0131 da tutar.<\/div>\n

Nas\u0131l tan\u0131 konur?<\/h3>\n
Fizik muayenede azalm\u0131\u015f eklem hareketlili\u011fi karakteristiktir. Tan\u0131, aksiyel plan ya da kurba\u011fa pozisyonunda \u00e7ekilen r\u00f6ntgen filmleriyle do\u011frulan\u0131r.<\/div>\n

Tedavi nas\u0131l yap\u0131l\u0131r?<\/h3>\n
Cerrahi \u00e7ivileme: femur ba\u015f\u0131n\u0131n \u00e7iviler yerle\u015ftirilerek yerinde tutulmas\u0131na \u00e7al\u0131\u015f\u0131l\u0131r.<\/div>\n

Conclusi\u00f3n<\/h3>\n
Tan\u0131dan ne kadar \u00f6nce femur ba\u015f\u0131n\u0131n yerinden kayd\u0131\u011f\u0131 ve kayma derecesine ba\u011fl\u0131 olarak de\u011fi\u015fir.<\/div>\n

9) Osteokondrozlar (e\u015f anlaml\u0131s\u0131 osteonekrozlar, avask\u00fcler nekrozlar) Giri\u015f<\/strong><\/h2>\n
\u201cOsteokondroz \u201d s\u00f6zc\u00fc\u011f\u00fc \u201ckemik \u00f6l\u00fcm\u00fc \u201d demektir. Etkilenen kemiklerin birincil yada ikincil kemikle\u015fme merkezlerine kan ak\u0131m\u0131n\u0131n kesilmesiyle karakterize, nedeni bilinmeyen bir grup hastal\u0131kt\u0131r. Do\u011fumda kemik, daha \u00e7ok k\u0131k\u0131rdaktan yap\u0131lan, ve zamanla mineralize olup daha dayan\u0131kl\u0131 olan kemi\u011fe d\u00f6n\u00fc\u015fen yumu\u015fak bir dokudur. Bu d\u00f6n\u00fc\u015f\u00fcm, her kemikte kemikle\u015fme merkezi olarak adland\u0131r\u0131lan belirli b\u00f6lgelerde ba\u015flar ve zamanla kemi\u011fin di\u011fer yerlerine yay\u0131l\u0131r.<\/div>\n

\u00bfPor qu\u00e9?<\/h3>\n
Osteokondroz, kemiklerin kemikle\u015fme merkezini besleyen kan\u0131n kayb\u0131 ve bu merkezin onar\u0131c\u0131 kemik dokusu taraf\u0131ndan geriye itilmesi ile ili\u015fkili bir s\u00fcreci ifade eder. Bu rahats\u0131zl\u0131klar\u0131n ba\u015fl\u0131ca yak\u0131nmas\u0131 a\u011fr\u0131d\u0131r. Tan\u0131 g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri ile do\u011frulan\u0131r. R\u00f6ntgende, s\u0131ral\u0131 par\u00e7alanma (kemikte \u201cadac\u0131klar\u201d), kollaps (k\u0131r\u0131lma), skleroz (yo\u011funluk art\u0131\u015f\u0131, kemik filmlerde \u201cdaha beyaz\u201d g\u00f6r\u00fcn\u00fcm) ve s\u0131kl\u0131kla kemik kont\u00fcrlerinin yeniden yap\u0131lanmas\u0131yla birlikte reossifikasyon (yeni kemik olu\u015fumu) g\u00f6r\u00fclebilir. Ciddi bir hastal\u0131k izlenimi uyand\u0131rsa da \u00e7ocuklarda \u00e7ok s\u0131k g\u00f6r\u00fcl\u00fcr ve kal\u00e7a ekleminin yayg\u0131n tutulumu olmad\u0131\u011f\u0131 durumlarda hastal\u0131k \u00e7ok iyi sonu\u00e7lan\u0131r. Osteokondrozun baz\u0131 tipleri o kadar s\u0131kt\u0131r ki, kemik geli\u015fiminin normal varyasyonlar\u0131 olarak kabul edilir (Severhastal\u0131\u011f\u0131). Di\u011ferleri a\u015f\u0131r\u0131 kullan\u0131m sendromlar\u0131 ad\u0131 alt\u0131nda toplan\u0131r (Osgood-Schlatter, Sinding-Larsen- Johanson hastal\u0131\u011f\u0131 ).<\/div>\n

9.1. Legg-Calv\u00e9- Perthes hastal\u0131\u011f\u0131 Nedir?<\/strong><\/h3>\n
Femur ba\u015f\u0131n\u0131n (uyluk kemi\u011finin kal\u00e7aya en yak\u0131n k\u0131sm\u0131d\u0131r ) avask\u00fcler nekrozudur.<\/div>\n

Ne kadar s\u0131kt\u0131r?<\/h3>\n
10000 \u00e7ocuktan 1\u2019inde g\u00f6r\u00fclen nadir bir hastal\u0131kt\u0131r. 3-12 ya\u015flar\u0131 aras\u0131nda, erkeklerde daha s\u0131kt\u0131r (her k\u0131za 4-5 erkek). \u00d6zellikle 4-9 ya\u015f aras\u0131 \u00e7ocuklarda s\u0131k g\u00f6r\u00fcl\u00fcr.<\/div>\n

Ba\u015fl\u0131ca belirtileri nelerdir?<\/h3>\n
\u00c7o\u011fu \u00e7ocukta topallama ve de\u011fi\u015fen derecelerde kal\u00e7a a\u011fr\u0131s\u0131 g\u00f6r\u00fcl\u00fcr; bazen de hi\u00e7 a\u011fr\u0131 olmaz. Genelde tek kal\u00e7a tutulur fakat yakla\u015f\u0131k olgular\u0131n %10\u2019unda her ikisi de etkilenir.<\/div>\n

Nas\u0131l tan\u0131 konur?<\/h3>\n
Kal\u00e7a ekleminin hareketlili\u011fi bozulmu\u015ftur ve a\u011fr\u0131l\u0131 olabilir. R\u00f6ntgenler ba\u015flang\u0131\u00e7ta normal olabilir fakat daha sonra, giri\u015f k\u0131sm\u0131nda belirtilmi\u015f olan ilerlemeyi g\u00f6sterebilir. Kemik taramalar\u0131 ve manyetik rezonans (MR) incelemeleri, hastal\u0131\u011f\u0131 d\u00fcz grafilerden daha \u00f6nce saptanmas\u0131n\u0131 sa\u011flayabilir.<\/div>\n

Tedavi nas\u0131l yap\u0131l\u0131r?:<\/h3>\n
Legg-calve pertes\u2019li \u00e7ocuklar her zaman bir pediatrik ortopedi b\u00f6l\u00fcm\u00fcne g\u00f6nderilmelidir. Tedavi hastal\u0131\u011f\u0131n \u015fiddetine ba\u011fl\u0131d\u0131r. \u00c7ok hafif olgularda g\u00f6zlem yeterli olabilir. Daha a\u011f\u0131r olgularda ise, tedavi etkilenen femur ba\u015f\u0131n\u0131n kal\u00e7a eklemi i\u00e7inde tutulmas\u0131n\u0131 ama\u00e7lar, b\u00f6ylece yeni kemik olu\u015fumu ba\u015flad\u0131\u011f\u0131nda femur ba\u015f\u0131 normal k\u00fcresel \u015feklini alabilir. Bu amaca bir \u00f6l\u00e7\u00fcye kadar, abd\u00fcksiyon al\u00e7\u0131s\u0131 (k\u00fc\u00e7\u00fck \u00e7ocuklarda) giydirilerek ya da femuru cerrahi olarak yeniden \u015fekillendirilerek (osteotomi, ba\u015f\u0131 daha iyi tutmak i\u00e7in kemikten kama kesilerek, b\u00fcy\u00fck \u00e7ocuklarda ) ula\u015f\u0131labilir.<\/div>\n

Conclusi\u00f3n<\/h3>\n
Hastal\u0131\u011f\u0131n d\u00fczelmesi femur ba\u015f\u0131n\u0131n ne kadar yayg\u0131n tutuldu\u011funa ve ayr\u0131ca \u00e7ocu\u011fun ya\u015f\u0131na ba\u011fl\u0131d\u0131r. Tutulum az ve \u00e7ocuk 6 ya\u015f\u0131ndan k\u00fc\u00e7\u00fckse d\u00fczelme o kadar fazla olacakt\u0131r. B\u00fct\u00fcn bu s\u00fcrecin (par\u00e7alanmadan yeniden olu\u015fuma dek) tamamlanmas\u0131 12 \u201318 ay al\u0131r. Tutulan kal\u00e7a eklemlerinin yakla\u015f\u0131k \u00fc\u00e7te ikisinin uzun d\u00f6nem radyografik sonu\u00e7lar\u0131 iyidir.<\/div>\n

G\u00fcnl\u00fck ya\u015fam<\/h3>\n
Uygulanan tedaviye ba\u011fl\u0131d\u0131r. G\u00f6zlem alt\u0131ndaki \u00e7ocuklar\u0131n kal\u00e7a eklemine a\u011f\u0131r y\u00fck binmesinden ka\u00e7\u0131n\u0131lmal\u0131d\u0131r (z\u0131plama ve ko\u015fma). Ancak, normal okul hayatlar\u0131n\u0131 s\u00fcrd\u00fcrmeli ve a\u011f\u0131r y\u00fck ta\u015f\u0131tmayacak b\u00fct\u00fcn aktivitelere kat\u0131lmal\u0131d\u0131rlar.<\/div>\n

9.2 Osgood-Schlatter hastal\u0131\u011f\u0131<\/strong><\/h3>\n
Tibial t\u00fcberositenin (dizin a\u015fa\u011f\u0131s\u0131ndaki k\u00fc\u00e7\u00fck kemik \u00e7\u0131k\u0131nt\u0131s\u0131) kemikle\u015fme merkezine patellar tendon taraf\u0131ndan uygulanan tekrarlay\u0131c\u0131 travmalar sonucu olu\u015fur. Spor yapanlarda daha s\u0131k olmak \u00fczere ergenlerin yakla\u015f\u0131k y\u00fczde 1\u2019inde g\u00f6r\u00fcl\u00fcr. A\u011fr\u0131, ko\u015fma, z\u0131plama, merdiven inip \u00e7\u0131kma ve diz \u00fcst\u00fc \u00e7\u00f6kme gibi hareketlerle artar. Tan\u0131 fizik muayene ile konur; patellar tendonun tibiaya tutundu\u011fu yerde bazen \u015fi\u015fli\u011fin de e\u015flik etti\u011fi \u00e7ok karakteristik hassasiyet ya da a\u011fr\u0131 g\u00f6r\u00fcl\u00fcr. R\u00f6ntgen normal olabilir ya da tibial t\u00fcberosite b\u00f6lgesinde k\u00fc\u00e7\u00fck kemik k\u0131r\u0131klar\u0131 g\u00f6r\u00fclebilir. Tedavi, hastay\u0131 a\u011fr\u0131s\u0131z durumda tutmak i\u00e7in aktivitenin k\u0131s\u0131tlanmas\u0131, spordan sonra buz uygulanmas\u0131 ve istirahata dayal\u0131d\u0131r. Zaman i\u00e7inde d\u00fczelir.<\/div>\n

9.3 Sever hastal\u0131\u011f\u0131<\/strong><\/h3>\n
\u201cKalkaneal epifizit\u201d olarak da bilinir. Muhtemelen a\u015fil tendonunun \u00e7ekmesine ba\u011fl\u0131 kalkaneal apofizin (topuk kemi\u011fi) osteokondrozudur. \u00c7ocukluk \u00e7a\u011f\u0131nda topuk a\u011fr\u0131s\u0131n\u0131n en s\u0131k nedenlerinden birisidir. Sever hastal\u0131\u011f\u0131 aktiviteye ba\u011fl\u0131d\u0131r ve erkeklerde daha yayg\u0131nd\u0131r. Topuk a\u011fr\u0131s\u0131 ve egzersiz sonras\u0131 topallama g\u00f6r\u00fclebilir ve ba\u015flang\u0131\u00e7 ya\u015f\u0131 genelde 6-10 ya\u015f aras\u0131d\u0131r. Tan\u0131 klinik muayene ile konur. Tedaviye gerek yoktur yaln\u0131z \u00e7ocuklar\u0131 a\u011fr\u0131dan uzak tutmak i\u00e7in aktivite d\u00fczeyi ayarlanmal\u0131d\u0131r ve e\u011fer i\u015fe yaramazsa topuk yast\u0131\u011f\u0131 kullan\u0131lmal\u0131d\u0131r. Zaman i\u00e7inde d\u00fczelir.<\/div>\n

9.4 Freiberg hastal\u0131\u011f\u0131<\/strong><\/h3>\n
Ayaktaki ikinci metatarsal kemi\u011fin ba\u015f\u0131n\u0131n osteonekrozudur. Nedeni muhtemelen travmatiktir. S\u0131k de\u011fildir ve olgular\u0131n \u00e7o\u011fu ergenlik \u00e7a\u011f\u0131ndaki k\u0131zlard\u0131r. A\u011fr\u0131 aktiviteyle artar. Fizik muayenede, ikinci metatarsal kemi\u011fin alt\u0131nda hassasiyet ve nadir olarak \u015fi\u015fkinlik g\u00f6r\u00fcl\u00fcr. Belirtilerin ba\u015flang\u0131c\u0131ndan de\u011fi\u015fiklerin g\u00f6r\u00fclmesine kadar iki hafta ge\u00e7ebilse de tan\u0131 r\u00f6ntgenlerle do\u011frulanabilir. Tedavi, istirahat ve metatarsal yast\u0131k\u00e7\u0131k ile yap\u0131l\u0131r.<\/div>\n

9.5 Scheuermann hastal\u0131\u011f\u0131<\/strong><\/h3>\n
Scheuermann hastal\u0131\u011f\u0131 ya da \u201cjuvenil kifoz (kambur)\u201d, omur cisminin y\u00fcz\u00fck \u015feklindeki apofizinin osteonekrozudur. Ergen erkeklerde daha s\u0131kt\u0131r. \u00c7o\u011fu \u00e7ocukta post\u00fcr bozuklu\u011fu vard\u0131r; s\u0131rt a\u011fr\u0131s\u0131 olabilir ya da olmayabilir. A\u011fr\u0131 aktiviteye ba\u011fl\u0131d\u0131r ve istirahatla azal\u0131r. Muayene ile tan\u0131dan \u015f\u00fcphelenilir (s\u0131rtta keskin a\u00e7\u0131lanma, kamburla\u015fma) ve r\u00f6ntgen ile do\u011frulan\u0131r. Scheuermann hastal\u0131\u011f\u0131 denebilmesi i\u00e7in, \u00e7ocukta omur plaklar\u0131nda d\u00fczensizlikler ve en az arka arkaya 3 omurda \u00f6ne do\u011fru 5 derece kamala\u015fma olmal\u0131d\u0131r. Scheuermann hastal\u0131\u011f\u0131, genellikle, \u00e7ocu\u011fun aktivite d\u00fczeyinin ayarlanmas\u0131, g\u00f6zlem ve a\u011f\u0131r vakalarda al\u00e7\u0131 yap\u0131lmas\u0131 d\u0131\u015f\u0131nda bir tedavi gerektirmez.<\/div>\n
<\/div>\n
<\/div>\n

Nuestros otros campos de actividad<\/p>\n

Residencia de ancianos<\/a> , Residencia de ancianos y residencia de ancianos <\/a>, Centro de Fisioterapia y Rehabilitaci\u00f3n, <\/a>Centro del Dolor Kadikoy <\/a><\/span><\/p>\n

\"\"<\/a>\"\"<\/a><\/p>","protected":false},"excerpt":{"rendered":"

\u00c7ocukluk \u00c7a\u011f\u0131nda S\u0131k G\u00f6r\u00fclen A\u011fr\u0131 Sendromlar\u0131 \u00c7ocukluk \u00c7a\u011f\u0131nda S\u0131k G\u00f6r\u00fclen […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[713],"tags":[811,741,410,661,812,26,813,814,697,815,816,817,818,22,819,820,728],"class_list":["post-193","post","type-post","status-publish","format-standard","hentry","category-cocuklarda-agrili-sendromlar","tag-bolgesel-idiopatik-kas-iskelet-agri-sendromu","tag-buyume-agrilari","tag-cocuk-hastaliklari","tag-cocuk-sagligi","tag-cocuklarda-sik-gorulen-agrili-sendromlar","tag-diz-agrisi","tag-eritromelalji","tag-femur-basi-epifizi","tag-fibromiyalji-sendromu","tag-freiberg-hastaligi","tag-gecici-sinovit","tag-iyi-huylu-hipermobilite-sendromu","tag-legg-calve-perthes","tag-osgood-schlatter","tag-osteokondrozlar","tag-patellofemoral-agri","tag-sever-hastaligi"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/193","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/comments?post=193"}],"version-history":[{"count":2,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/193\/revisions"}],"predecessor-version":[{"id":10083,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/193\/revisions\/10083"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/media?parent=193"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/categories?post=193"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/tags?post=193"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}